22D2169298 CLIA NUMBER - WALMART PHARMACY 10- 2157

Laboratory Demographics

  • CLIA Code: 22D2169298
  • Facility Name: WALMART PHARMACY 10- 2157
  • Facility Address: 506 STATE RD
    NORTH DARTMOUTH, MA
    ZIP 02747
  • Facility Phone: 508 984-7774
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL LEARY
  • NPI Number: 1285651570
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2169298
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 2157
Street 506 STATE RD
City NORTH DARTMOUTH
State MA
ZIP 02747
Phone 508 984-7774
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Pharmacy
Lab Director RACHEL LEARY

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This page was last updated on: 9/29/2025